A Tatte a day keeps the Dr. awakeee except this doc has her first clinical anatomy exam friday so instead she’s been decaying in cadaver lab all week lol 🤘🧠 - nothing like that morning hit of coffee (formaldehyde) to get the day going!! What are you guys up to this week?! ⬇️

Hey Pharm Fam! I’m back! Been busy with the implementation of new USP guidelines at the hospital but have been missing PQRS Guides for a bit now. I’m happy to be slowly getting back into the groove of things starting with some bite-sized quick drug reviews!🤓⁠
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Last Friday, the FDA approved Ofev (nintedanib) capsules to help slow the rate of decline in pulmonary function in adults with interstitial lung disease associated with systemic sclerosis or scleroderma (SSc-ILD). This is an added indication for Ofev as it was first introduced to the market for idiopathic pulmonary fibrosis back in 2014. OFEV (nintedanib) is available in 100mg and 150mg capsules (as shown above). ⁠
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OFEV is generally dosed at 150mg twice daily with food. Dose reduction to 100mg BID is recommended in mild impairment. Patients with moderate to severe hepatic impairment should avoid this medication. Elevated liver enzymes have been reported with the use of this medication, with the majority of hepatic events occurring within the first three (3) months of treatment. Temporary dosage reductions or discontinuations may be required in response to elevated liver enzymes. ⁠
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Other warnings/precautions include diarrhea, nausea, vomiting, arterial thromboembolic events, bleeding risks, and gastrointestinal perforations. This medication can also cause fetal harm so female patients should use highly effective contraception while on nintedanib. It is currently unknown if this medication has an impact on the effectiveness on hormonal contraception. ⁠
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Lastly, coadministration of P-gp and CYP3A4 inhibitors may increase nintedanib exposures so monitor patients closely. See package insert for additional information for this medication.💊⁠
⁠#pharmacist#pharmacy#pharmacylife#pharmacology#pharmacystudent#pharmacists#pharmacytech#pharmacytechnician#pharmacyschool#pharmlife#pharmacistlife#studentdoctor#futurepharmacist#rxlife#pharmacystudents#pharmdtobe#continuingeducation#medicine#medstudent#medschool#nursingschool#medlife#nursepractitioner#paschool#familymedicine#pqrstables#quickdrugreviews#pulmonaryfibrosis#pharmily#pharmfam

As a pharmacist, I am very particular about what I put in my body. I went from burnt out and unhealthy to feeling energized and fit using a system that is easy and backed by science! Join me for a brief 20 minute webinar on Tuesday, 9/26/19 at 4:30pm to hear my story of how I took back my health again!

💡Craziest thing about being a new doctor? Having your patients call you Dr. (fill in the blank). 😮⁣
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➡Let's be honest I'm only 3 months removed from med school. Yet there's such a big shift in trust and respect with a Dr. in front of your name.⁣
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🔥If you're going through the hustle wondering if it's worth it - I promise you it is! 😀⁣
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Make sure to give this page a follow for daily tips M-F for your medical journey! 👍

9/11 was an unforgettable day. The events of that day remind us that hate does not belong here and that love will arise out of the rubble. There were many heroes and the country was unified as a result of this tragedy.

**What will it take for you to decide? **
A common question I am asked is about whether one "should" apply to med school. My biggest piece of advice is that after you've done your research , talked to people in the field , and assessed what you want in life , at some point it comes time to pull the trigger and make a choice . We won't always have 100% certainty. Partially because of fear, or some degree of perfectionism. Some people go back and forth between dental , or pharmacy and then to nursing then back to dental again but now thinking of med school 😬. When you don't have the ability to be decisive about something you lose time, and you take away from your potential competitiveness in any one area. All of us were scared of the MCAT. All of us were scared we may not get in . But we still tried. Even if something doesn't go your way , you could always trouble shoot it later. But at some point you have to take a leap and just go for it. 💯
- Doctor Nate ▪
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